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Alabama rates for HCPCS 57400

Dilation Vagina W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.00 / $1,223.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.27 / $173.83 / $173.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,240.91 / $3,933.00 / $5,291.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $151.00 / $178.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $156.71 / $408.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $137.50 / $209.44